El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

Scheduled Bi-Weekly Hours

Work Shift

Job Description

The Patient Account Representative performs Physician billing and account follow-up, and customer service activities. Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool. Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect cash collections and Accounts Receivable. Receives and processes correspondence and phone inquiries from patients, payers or any other third party in a timely and professional manner. Resolves accounts by contacting third party payer organizations or patients to facilitate timely payments. Keeps informed of managed care and contractual arrangements in order to resolve and process accounts by HMO/PPO payers. Monitors and reports on the status of outstanding accounts within assigned unit or area of responsibility. Follows up on unpaid, denied, and all payment variances for account resolution. Resolves credit balances that are due to patient and payers. Posts daily cash and adjustments for Hospital and Professional billing. Ensure all accounts are resolved in a compliant manner and according to all rules and regulations. Works collaboratively with other team members in the work unit and shares knowledge and best practices

Qualifications

High School diploma or equivalency.

One year related work experience in a physicians billing office.

Experience in health insurance, physician office and knowledge of insurance industry.

Understands Medicare, Medi-Cal HMO, PPO and 3rd party rules and regulations.

Understands the basics of contracting

Works in a collaborative and team manner.

Strong verbal and written communication skills

License/Certification/Registration Requirements

None required

Salary Range:

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.